Harmonic scalpel versus monopolar electrocauterization in laparoscopic cholecystectomy

Abstract

Introduction: Laparoscopic cholecystectomy has revolutionized the treatment of symptomatic gallstone disease. It is now the gold standard for cholecystectomies. The aim of study is to this study compared the effectiveness of monopolar electrocauterization vs harmonic scalpel in Laparoscopic Cholecystectomy. Method: This study at Ibn Sina Training Hospital compares monopolar and harmonic methods for laparoscopic cholecystectomy in patients with symptomatic gallstones. Exclusion criteria included age above 65, coagulopathy, acute cholecystitis, and multiple comorbidities. Data were collected prospectively during postoperative follow-up and outpatient observation. Results: Out of 152 patients, 75 were in the Monopolar group and 77 in the Harmonic group. The study found no statistically significant difference in postoperative bleeding rate, operative time, and hospital stay between the two groups (p>0.05). Primary failure of cystic artery control occurred in one Monopolar patient and three Harmonic patients, with minimal early postoperative bleeding in both groups. Conclusion: The research found no significant difference in safety and outcomes between using a Harmonic Scalpel and Monopolar Electrocauterization for laparoscopic cholecystectomy, suggesting both methods can be used with equal assurance of favourable patient outcomes and safety.